119 S1797 IS: Expanding Seniors Access to Mental Health Services Act U.S. Senate 2025-05-15 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.

II 119th CONGRESS 1st Session S. 1797 IN THE SENATE OF THE UNITED STATES May 15, 2025 Mr. Barrasso (for himself and Mr. Coons) introduced the following bill; which was read twice and referred to the Committee on Finance A BILL To amend title XVIII of the Social Security Act to improve access to mental health services under the Medicare program.

1.

Short title

This Act may be cited as the Expanding Seniors Access to Mental Health Services Act.

2.

Improved access to mental health services under the Medicare program

(a)

Access to clinical social worker services provided to residents of skilled nursing facilities

(1)

Exclusion of clinical social worker services from the skilled nursing facility prospective payment system

Section 1888(e)(2)(A)(iii) of the Social Security Act (42 U.S.C. 1395yy(e)(2)(A)(iii)) is amended by adding at the end the following new subclause: (VII) Clinical social worker services (as defined in section 1861(hh)(2)). . (2)

Conforming amendment

Section 1861(hh)(2) of the Social Security Act (42 U.S.C. 1395x(hh)(2)) is amended by striking and other than services furnished to an inpatient of a skilled nursing facility which the facility is required to provide as a requirement for participation. (b)

Access to the complete set of clinical social worker services

Section 1861(hh)(2) of the Social Security Act (42 U.S.C. 1395x(hh)(2)), as amended by subsection (a)(2), is amended— (1) by striking for the diagnosis and treatment of mental illnesses (other than services and inserting , including services for the diagnosis and treatment of mental illnesses or services for health and behavior assessment and intervention (identified as of January 1, 2023, by HCPCS codes 96156, 96158–96161, 96164–96168, and 96170–96171 (and any succeeding codes)) but not including services; and (2) by striking inpatient of a hospital) and inserting inpatient of a hospital,. (c)

Effective date

The amendments made by this section shall apply to items and services furnished on or after January 1, 2026.